annual program review and...

Annual Program Review And Assessment

Annual Program Review And Assessment

Curriculum Program Title Dental Hygiene Curriculum Code A4S260

Note The following questions will be reported in the FrCC Annual Program Review to the North Carolina Community College System

Did the Advisory Committee meet in the last year (Xes No or Not APplicable) Yes

Ifyes are the minutes of the meeting on file (Xes No or Not APplicable) Yes

Has the curriculum currency for this program been addressed during the last five years (Xes or No) Yes

Are the documents on file (Xes or No) Yes

Did this program respond to last year=s Program Review recommendations (Xes No or Not APplicable) Yes

Ifapplicable is the documentation on file and available for verification (Xes or No) Yes

Department Chairperson I Date Division Chairperson I Date Academic Dean I Date Associate VP for Curriculum Programs I Date

Copies of the Program Review are to be provided to the Directoc of the Institutimal Effectiveness and Assessment Office after reviewapproval by the officials listed above

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Annual Program Review and Assessment

1 Identify the Student Enrollment In The Curriculum during the last three (3) years (Note If your curriculum has diplomas andor certificates please include the enrollment in those separately in the comments section)

2005-2006 2006-2007 2007-2008 Curriculum Enrollment 53 53 57

Comments

2 Identify the Number of ProgramCurriculum Graduates during the last three (3) years (Note If your curriculum has diplomas andor certificates please include the enrollment in those separately in the comments section)

2005-2006 2006-2007 2007-2008 Curriculum Graduates 19 18 23

Comments

3 Identify the Number of Faculty (full-time and part-time) that taught in the curriculum during the last three (3) years

2005-2006 2006-2007 2007-2008 Full-Time Instructors 55 55 55 Part-Time Instructors 3 3 3

Comments Clinic dentist is FT but has taught only a portion of 1 class each year

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4 Identify the Number of FTE generated by the curriculum and the Number of Instructor Positions funded based upon the FTE during the last three (3) years

2005-2006 2006-2007 2007-2008 FTE Generated Instructor Positions 55FT 3PT 55FT 3PT 55FT 3PT

Comments Department dentist not counted in clinic Accreditation-required ratios but is counted in FTE Dentists salary is split Dental AssistingDental Hygiene

5 Identify the Budget Dollar Amount of Equipment and Supplies purchased to support the curriculum during the last three (3) years

2005-2006 2006-2007 2007-2008 Equipment 12832 0 25464 Supplies 48212 51086 45620

Comments

6 Identify the Passing Rates for First-time Licensure Exam Takers (if applicable) during the last three (3) years (Note If your curriculumprogram has multiple licensure eJ8ms include data br each one of the multiple elGlms)

2005-2006 2006-2007 2007-2008 First-time Exam Takers National 100 National 100 National 100

-State 894 State 100 Regional 869

Comments National Dental Hygiene Board Exam is written StateRegional Exams are clinical licensure exams

7 Identify the Number of Sections Offered to students during the year the Number of Sections Made and the Average Class Size during the last three (3) years

2005-2006 2006-2007 2007-2008 Number of Sections Offered 30 30 30 Number of Sections Made 30 30 30 Average Class Size 2366 2533 2633

Comments Due to attrition only one of the two DEN 141 sections were offered the past three years The hours during which the second section would have been offered were utilized for clinical remediation and calibration as students needed

8 Identify the Average Faculty Workload (contact hours I per week) during the last three (3) years

2005-2006 2006-2007 2007-2008 Average Full-time Faculty 18 18 18 Workload

Comments The Department Chair has reduced hours to maintain compliance with Commission on Dental Accreditation Standards Faculty hours are on lower end of range to accommodate review of patient records clinical preparation patient assessment and dismissal and securing of clinic each day

9 Identify the Number of Sections Taught by FullmiddotTime Instructors and the Number of Sections Taught by Partmiddot Time Instructors during the last three (3) years

2005-2006 2006-2007 2007-2008 Sections Taught by Full-time Instructors 30 30 30 Sections Taught by Part-time Instructors 6 (clinical adjunct) 6 (clinical adjunct) 6 (clinical adjunct)

Comments All sections have FT faculty lead instructors as required by the Commission on Dental Accreditation Standards Part-time faculty are adjunct clinical instructors only

10 Identify when the curriculum was last revised (implementation semesterterm) 100606

bull The last time the Program went through a major curriculum change was Fall 2007 when the NCCC System underwent semester conversion and adoption of the Common Course Library The Program of Study was last updated 100606 at the state level due to minor changes in the general education courses

11 Identify how each program instructor (full-time and part-time) assures that distance education students taking on-line classes are meeting the same requirements for successful course completion as traditional students in face to face classes

bull Dental Hygiene classes are not offered online

comprehensive dental hygiene treatment plan a

12 Identify the Program Assessment Plan Objectives for the past 3 years along with the measurable learning outcome metricsrubrics used to assess those objectives and the action plans that came from analysis of the metricsrubrics (Note Data should be readily available in Weaveonline Program Area)

1 Students will use information to

2 Perform technical skills required in the profession of dental hygiene while performing routine and advanced dental hygiene procedures

3 Using evidence-based research students will communicate effectively in speaking writing reading and listening in the written and oral presentation of a selected topic

instructor andor dentist will evaluate the student during each patient dinical encounter to determine process and product competency regarding treatment planning Utilizing data recorded on the daily clinical grade sheets the clinical coordinator will calculate and analyze the cumulative spring semester results

2 Graduates will demonstrate clinical competence to assigned and calibrated examiners during the Council of Interstate Agencies (CITA) licensure examination in June following graduation CITA measures clinical competence as well as the ability to follow instructions and to organiie patient data The Department Chair will collect and analyze the passfail data for reporting purposes to SACS and the Commission on Dental Accreditation (CODA)

3 Given a specific topic and utilizing evidence-based literature students will research and present a formal paper and oral presentation Students will be evaluated by themselves their peers and the course instructor in DEN 222 General and Oral Pathology The course instructor will calculate and analyze the project grades each spring

will accurately prepare and present a dental hygiene treatment in the grading rubric in DEN 231 Dental Hygiene Clinic IV

2 80 of graduates will successfully pass the clinical licensing exam (CITA) on the first attempt

3 80 of students will earn a 77 or higher an assigned research paper and oral presentation in DEN 222 General and Oral Pathology

13 Identify by course listing which FTCC Core Competency Statement is being met by the instruction in that course (Note Core CompetencyStatements are induded in the Strategic Plan and each course should address one or more ofhose statements)

I Communicate II Use critical III Demonstrate IV Demonstrate V Demonstrate effectively in thinking to analyze socialization skills quantitative computer literacy speaking writing problems and that support competencies reading and make logical cultural awareness listening decisions and a global

perspective DEN 110 X X X DEN 111 X X X DEN 112 X X X X X DEN 120 X X X X DEN 121 X X X X X DEN 123 X X X X X DEN 124 X X X X X DEN 125 X X X X X DEN 130 X X X X X DEN 131 X X X X X DEN 140 X X X X X DEN 141 X X X X X DEN 220 X X X X X DEN 221 X X X X X DEN 222 X X X DEN 223 X X X X DEN 224 X X X X DEN 230 X X X X X DEN 231 X X X X X DEN 232 X X X X X DEN 233 X X X X

14 Attach a copy of the current years Program Assessment Plan indicating quality enhancement goals for the upcoming year as an attachment to this document (Note AvaiiabletomWeaveonline)

Annual Program Review And Assessment Re~ommendations For Quality Improvement

Curriculum Program Title Curriculum Code Fiscal Year lDental Hygiene A45260 Irrends (attached additional pages if necessary)

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Needs (attached additional pages if necessary)

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Recommendations (attached additional pages if necessary)

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Response to Last Years Recommendations (attached additional pages if necessary)

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Annual Program Review and Assessment Recommendations for Quality Improvement

TRENDS

bull Enrollment The number of applicants for admission into the Dental Hygiene Program remains high and placement rates continue to be 100 Category I applicants numbered 142 in 2008138 in 2007 117 in 2006 and 128 in 2005 Job placement results for 2008 graduates were indicative of recent state-wide trends 100 of graduates seeking employment were employed within four months of graduation although fewer graduates had positions secured at graduation than in previous years Graduates report longer job searches than before and more graduates are compromising with part-time positions

Pitt Community College plans to open the fifteenth dental hygiene program in NC up from seven NC programs in 1993 Regional dental employment services continue to express concern over a saturation of graduates into the marketplace While desire for program entry continues to exceed available seats graduates from any program deserve a reasonable certainty of job placement upon entry into the marketplace

bull Facilities Graduate surveys continue to indicate increasing usage of computers digital radiography and intra-oral technology in local and regional dental facilities The computer program that has been utilized in the FTCC dental hygiene clinic has become obsolete no longer receives technical support and must be replaced The Dental Hygiene clinic has had no major remodel or renovations since it opened in Fa1l1998

The dental hygiene program continues to utilize rotation sites for enhancement of students education Sites currently include DC 5 at Fort Bragg theVeterans Hospital and the E Newton Smith Health Department The possibility always exists that one of the rotation sites could become unavailable for program use Should a replacement site not be immediately found the students otherwise scheduled on rotation would need to be accommodated in the FTCC Dental Hygiene Clinic Should the program increase enrollment the accommodation of additional students in our clinic could be problematic Fort Bragg DENTAC continues the process of renovating several of the dental clinics on the post Some of the dental clinics on Fort Bragg have closed during renovation and have relocated personnel to DC 5 To date the FTCC program has been accommodated However should DENTAC need the facilities for troops the FTCC students would have to be placed somewhere else Planning Assumption number 9 located on page 25 of the 2007-2012 Strategic Plan states that Access to Fort Bragg for FTCC students will become increasingly more restricted due to the militarys increased level of

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security which yields another concern and caution for increased enrollment at this time The Clinic Coordinator for the Dental Hygiene Program is currently exploring an additional rotation site at the Tri-County Health Department in Newton Grove NC This additional site would provide students with enhanced training with special needs patients and a multi-cultural population

bull Technology The use of technology continues to increase in the dental office setting FTCC dental hygiene graduates should be competent in the use of technology that is the local standard of care including computerized charting perioscopy and intraoral photography These examples remain at the forefront of todays practice Additional technology that is surfacing locally includes laser beam technology to detect caries (decay) and treat periodontal disease The Dental Hygiene program was fortunate in 2007-2008 to receive funding for an intraoral camera and the Diagnodent laser caries detector and in 2008-2009 to receive funding for the Velscope oral cancer screening system Acquisition of a state-of-theshyart clinical computer and digital radiography system will help to bring the department up to the local standard of care for patient assessment and radiography

bull Instructional Supply Budget The cost of materials and supplies needed for classroom and clinical instruction dental materials and dental health education continues to rise The Dental Department must ensure students are lab proficient and clinically competent in the use of contemporary materials and supplies - which are expensive but necessary in the instruction of the dental hygiene students

bull Equipment RepairMaintenance Operatory units and equipment were installed in 1998 and are becoming increasingly more expensive to repair or to replace

o As dental x-ray teaching-training replicas (DXTRRs) age repair ($1800+) andor replacement ($6000+) will continue to be necessary due to extensive and shared use by Dental Hygiene students Dental Assisting students and continuing education students from the Southern Regional Area Health Education Clinic (SRAHEC) Two DXTRRs were purchased in 2007 and four DXTRRs are now in disrepair with safety issues

o The dental department has experienced the need for a high number of servicerepair visits over the past twelve months on other clinical and radiology equipment One film processor was purchased in 2007 and two x-ray tube heads suddenly became inoperable and unsafe in February 2008 and were replaced

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o The Dental Hygiene Program purchased two large magnaclaves and one small autoclave for use in the sterilization room of the dental hygiene clinic

Due to the age of the equipment and the number of students using the equipment repair andor replacement costs must be anticipated At some point replacement becomes more reasonable than continued costly repairs

bull Retention While the attrition rate for the Dental Hygiene Program is lower than that of the College as a whole retention is a continuous topic of concern at monthly faculty meetings The need to improve retention of students who are not achieving the minimum acceptable grade of 20 (C) through early intervention remediation and more one-on-one studentfaculty instruction is necessary as demonstrated by the percentage of students who fail to graduate Dental Hygiene Accreditation Standard 2-1 states that there must be mechanisms in place whereby students are selected who have the potential for successfully completing the program Transcript issues of those applying for the program continue to be a concern Students who are allowed to attempt related courses 3-4 times and have the highest grade counted in their competitive points do not reflect a realistic picture of what will be expected and required once in the program Students taking related courses may withdraw when they become discouraged in those courses but cannot do so in the dental hygiene program without withdrawing from the entire program A current trend among other institutions is to offer biology classes online and some students who have taken those classes online are admittedly entering the program with inadequate preparation in the biological sciences The Dental Hygiene faculty hold several mandatory Information Sessions during which the applicants and potential students are fully informed of the rigors and requirements of the program However each year several students withdraw shortly after beginning the program for personal reasons including disinterest in the program At the time these students withdraw it is not possible to replace their seat with another student Dental Hygiene faculty continue to probe other possible solutions for this continuing problem

bull Faculty The trend is for faculty-student ratios to be lower than the maximum CODA-allowed ratio in an effort to improve retention and to facilitate the matriculation of the students who require additional assistance to be successful Revised Accreditation Standards effective January 2009 necessitate one additional clinical instructor be scheduled into DEN 131 for Spring semester First-year students require more careful supervision in Spring semester as they are still learning new skills and safety measures It is necessary to observe each student in a nearly uninterrupted manner Attending instructors must observe each clinical

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student from directly overhead It is necessary to leave the presence of one student to address another thereby leaving the first student unsupervised while manipulating sharp instruments in the patients mouth The Commission on Dental Accreditation Standards for Dental Hygiene Education have been revised effective January 2009 One change to be implemented is the faculty to student ratio changing from 61 to 51 an absolute maximum in the clinical setting The faculty to student ratio for dental hygiene sciences (Le Dental Materials) will be changed from 121 to 101

Additionally any future increase in class size would require the hire of additional faculty in order to remain in compliance with CODA requirements

NEEDS

bull Enrollment Faculty consensus is to maintain a cautious approach to increased enrollment As new programs continue to open in NC employment opportunities are becoming tenuous In fairness to FTCC graduates steps must be taken to ensure they have a positive outlook for employment once they complete their program and become licensed

Any increase in enrollment must be justified by o Documentation of a definite need for additional dental hygiene

graduates o Documentation of job opportunities available upon graduation o Documentation of additional programs planned by the NC

Community College System o Successful completion of the Dental Assisting expansion project

and o The hire of additional faculty and support staff

The dental hygiene department will make every effort to ensure continued compliance with Accreditation Standards at all times and avoid any situation(s) that would jeopardize the integrity or Accreditation status of the program

bull Expansion of Facility Successful completion of the Dental Assisting expansion plan would provide collateral benefit to the Dental Hygiene program

o Increased storage space for bulk supplies o Increased space in the Dental Materials Lab

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bull Expansion of Technology After extensive faculty review and discussion priorities in the Dental Hygiene Program in rank order are

o The 1st priority is the purchase of a new clinical computer and digital radiography system to replace the current system that is obsolete

Students have not received this valuable training for the past two years Graduates of the UNC School of Dentistry are trained exclusively in this technology and will expect their employees to be familiar with the programs

bull Instructional Supplies Budget Changes in the practice of dentistry necessitate the constant update and purchase of new dental materials instruments equipment and supplies Operational costs increase with the effort to maintain currency in the clinical and laboratory courses Continued upgrading of instructional supply budgets is necessary for program growth and accomplishment of program goals

Faculty continuing education is necessary (and required) for currency in the contemporary dental field Additional monies are needed for this continuing education and professional development - required for licensure and Accreditation compliance

bull Retention Attrition rates suggest the need for earlier intervention remediation and more one-on-one instruction for retention of students in both the first and second year classes For instructional and safety concerns student-to-faculty ratio in the first (Pre-clinic and Clinic I) should realistically be 3 1 student-to-faculty ratio in summer and in second year (Clinic II III and IV) should realistically be 41

bull Increase Faculty To remain in compliance with Accreditation Standards an additional instructor needs to be scheduled into DEN 131 with the current class size Should the program increase enrollment at any time additional full-time faculty would be required

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RECOMMENDATIONS

The Dental Hygiene Program recommends that all of the above needs be met in order to facilitate

bull Expansion of the Dental Materials Laboratory resulting in increased instructional and storage space

bull Replacement in a timely manner of currently obsolete clinical computer and digital radiography equipment

bull I ncreased budget lines due to increased costs related to repairs and supply purchases

bull A low student-to-faculty ratio not to exceed 4 students to 1 faculty member

RESPONSE TO LAST YEARS RECOMMENDATIONS

bull Expansion of dental assisting and dental hygiene facilities has not begun bull Two Magnaclave sterilizers were purchased in 2008 bull One Midmark autoclave was purchased in 2008 bull One Velscope Oral Cancer Screening system was purchased in 2008 bull Two x-ray tube heads were replaced in 2008 bull Student-to-faculty ratios have remained at a safe level for student

learning and achievement DEN 131 now needs one additional instructor scheduled during each session

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Fayetteville Technical Community College CommitteeSubcommittee Dental

Meeting Minutes Date October 24 2008

I Call to order A Meeting facilitator Dr Alan Babigan called the meeting to order B The date of the meeting was October 24 2008 the time was 1 40

PM and the meeting was held in HTC 111

II Roll call A The following committee members were present Dr Alan Babigan

Dr Catherine Evans Dr Martin Oakes Dr Kim Pryzogoda April Locklear Ursula Van Ness Adelailda Williams Dorothy Goodwin Melessia Richards Hawkins

B The following committee members were unable to attend Dr Dalton Brooks Dr Walter Scott Marilyn Gilmore Robbie Williams Robin Burke Rosemary Greene Yolanda Mayer Michelle Stokes

C The following guests were present None

III Approval of minutes from previous meeting A Committee secretary Lynda Davis distributed the minutes from the

previous meeting B [8J The minutes of the previous meeting were approved as read

D The minutes of the previous meeting were approved as read but with recommended changes (formatting grammar punctuation) that do not materially affect the content of the minutes

C The following content changes to the minutes were recommended 1 None

IV Old business A Discussionupdate of the following open items occurred

1 Program status reports a Mary Cam Boudreau Dental Hygiene 1st Year Clinical

Coordinator Started with 34 students this fall 2 have withdrawn before 30 mark it was not for them Have 32 students 1 gentleman Performance checks on Monday Class is enthusiastic but not detail orientated as seen on test scores Conducted midshyterm conferences and met with each student individually Concerned about this class this generation was just passed through they do enough

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to just pass by Conducted study sessions for them and 1 hour after clinic to work with them

b Angela Simmons Dental Assisting Department Chair Started this class with 42 students the Friday before the semester started had 1 student drop so on the first day of class had 41 students Currently have 37 students one dropped to work cosmetology This class has many personal problems good group of students one student wants to drop for financial problems her classes are already paid and so is her DANB ICE exam Concerned about 1-2 students for grades one hasnt passed a test yet Several students with English as a 2nd language one having problems Faculty staying well past scheduled times to help students with BIO and note taking 100 pass rate on National Boards last year on all 3 parts First time at FTCC that 100 of students took National Board and all passed In December students will be taking ICE (Infection Control Exam) for DANB All students have paid waiting on the date for testing Students will receive a passfail on that day and receive their score later In AprilMay they will take the 2nd part of the exam RHS (Radiation Health Safety) The 3rd part of the exam GC (General Chairside) will be taken in the summer All the exams are inline with our teaching right after we teach infection control they take ICE after radiation teaching they test and etc Fees are $150 for ICE $150 for RHS and $175 for GCS exams Some students cannot afford the fees Ms Walker and I have money taken out of our checks each month and help those students out who cannot pay We have asked for expansion again We want to add CEREC to ensure students are trained prior to clinicals Dentists do not have the time to train students they expect them to already know More and more dental offices in our area are adding the CEREC We are also trying Nitrous Oxide certified to program Our graduates last year took the course and were certified in Nitrous Oxide We had 100 CDAs graduate in 2008

c Susan Ellis Dental Hygiene Department Chair Melinda Creech is at a community education project with her students at Douglas McArthur educating them about the dangers of smoking and cannot be here today DEN 232 Community Dental Health is taught in the Fall and they have been to Mary

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McArthur Elementary School Terry Sanford High School for the special needs students The students have been volunteering at the Care Clinic very active in the community and working with Debbi Krueger on their own time Two weeks ago I received notice that the National Boards last written exam will be March 2009 The students wi have to go to Pearson Testing in Raleigh and take the exam electronicay As I said in the last meeting we no longer get a breakdown on the scores only passfail rating We can no longer compare our scores to other schools statewide nor nationwide CITA (State Board) only option for NC we are in a regional board with Alabama Mississippi Kansas and Puerto Rico 100 pass rate for National Boards for 8 years in a row now and 100 pass rate for State (CITA) 3 students did not pass on their 1 st

attempt but passed on their 2nd attempt We cannot help them with patient selection The test is very expensive and for 2nd attempts it is another $150000

d Jeanette Herring Dental Hypiene 2nd Year Clinical Coordinator we have 17 2n year students We lost 3 students last summer for lack of effort (they did not do homework) We have met and counseled with the students they are doing very we academically but struggling clinicay For some English is a 2nd

language and there is a barrier in communication takes them time to process we have students whose 1st language is Chinese Spanish and Korean

e Susan Ellis We have a different group here now I have been here teaching since and 1993 and Jeanette since 1992 and these students want to do just enough to pass after requirements are met they are done and have a problem with ethics Lost one 1st year student for related courses she took at another college the BIO classes on line with labs on line also and knows no BIO she needs to retake them to be successful

B Discussionupdate of the status of the following action items occurred 1 Action item Digital Radiography the status of this action item

is requested for the dental clinic replaces a tubeheads cost of $19300000 it is an Eagle Soft system The clinic computers wi be chair mounted with flat screens

2 Action item New AED the status of this action item is operational with adult and children cuffs available

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3 Action item VelScope the status of this action item is in and helps detect oral cancer cost around $700000

V New business A Discussion of the following new business occurred

1 Introduction of new members a Michelle Stokes a high school counselor will help be a

liaison between the DA and DH programs and other HS counselors to promote FTCC dental programs

2 Dr James Pilgrim is the Interim Dean of the Health Programs until we get a new Dean hired Pat Gorum is the new administrative assistant to the dean of health programs

3 Judge Calabria will be the guest speaker at the Pinning Ceremony

4 Graduation date may be moved up to May 15th a week earlier 5 A 4-day workweek is likely for the summer semester only

There is leeway for the health programs B Angela Simmons gave an i3D presentation at the end of the

meeting she will be taking classes this spring Dr Keen wants the latest in technology for FTCC This presentation is for DAlDHHealth programs and Biology classes Shown surface image of human skull then skin off then muscle off could see bones and teeth able to manipulate the image and rotate the view Can be viewed on EON VIEW for free can be added to Black Board to supplement for students

VI Next meeting [date] June 2009 [time] 1 30 PM [location] HTC 111

VII Adjournment - meeting facilitator Dr Alan Babigan closed the meeting at 220 PM

Minutes prepared by Lynda Davis

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Annual Program Review and Assessment

1 Identify the Student Enrollment In The Curriculum during the last three (3) years (Note If your curriculum has diplomas andor certificates please include the enrollment in those separately in the comments section)

2005-2006 2006-2007 2007-2008 Curriculum Enrollment 53 53 57

Comments

2 Identify the Number of ProgramCurriculum Graduates during the last three (3) years (Note If your curriculum has diplomas andor certificates please include the enrollment in those separately in the comments section)

2005-2006 2006-2007 2007-2008 Curriculum Graduates 19 18 23

Comments

3 Identify the Number of Faculty (full-time and part-time) that taught in the curriculum during the last three (3) years

2005-2006 2006-2007 2007-2008 Full-Time Instructors 55 55 55 Part-Time Instructors 3 3 3

Comments Clinic dentist is FT but has taught only a portion of 1 class each year

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